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Indiana rates for HCPCS E1296

Special wheelchair seat height from floor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.37 / $412.37 / $412.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.62 / $377.92 / $412.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.55 / $596.54 / $666.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.54 / $372.93 / $514.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.27 / $499.91 / $878.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $566.54 / $922.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $434.65 / $755.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $315.57 / $477.05